Patient Financial Services Representative I - Primary Care - FT - Days - MHW - Silver Lakes

Memorial Healthcare•Silver Lakes, CA

About The Position

The Patient Financial Services Representative (PFSR) is the first point of contact for patients and guarantors in a hospital, ambulatory, or medical office setting. The representative obtains and verifies demographic, financial, and insurance eligibility information, answers questions, and ensures required notices and consent forms are signed. The role requires excellent communication, critical thinking, decisive judgment, collaboration, and the ability to work with minimal supervision in a stressful environment. Additional duties vary by practice setting. In Memorial Primary Care, responsibilities include supporting patient referrals, payment collection and eligibility scheduling; processing referral work queues and same-day access requests; responding to real-time patient requests with the Patient Access Center; handling prescription refill and patient advice requests through MyChart; and managing provider scheduling templates. Physician practice employees must be willing to travel to other locations based on business needs; mileage reimbursement is provided.

Requirements

High school diploma or equivalent.
Excellent communication and critical thinking skills, decisive judgment, and ability to work with minimal supervision in a stressful environment.
Ability to work collaboratively and build relationships.

Nice To Haves

One year of related hospital, medical office, or customer service experience is preferred.

Responsibilities

Provide exceptional, timely and courteous customer service, address questions and concerns, and guide patients to service destinations as needed.
Obtain pre-certifications and authorizations; verify insurance benefits and active coverage, obtain insurance cards, and determine filing order when multiple coverages apply.
Explain policies and regulatory and financial consent forms, and obtain required signatures.
Interview patients and guarantors at a workstation or bedside to gather necessary information, including identification cards.
Collect patient out-of-pocket responsibility according to guidelines, provide estimates upon request, and prepare and balance daily payment deposits.
Perform patient discharge functions as needed, including reviewing the after-visit summary, scheduling future appointments, and making referrals.
Confirm physician and prescription orders for accuracy as needed.
Schedule walk-in appointments for offered services as needed.
In Memorial Primary Care, support MIH-MPC patient referrals, payment collection, and eligibility scheduling; process referral work queues and same-day access requests; coordinate real-time requests with the Patient Access Center; handle prescription refill and patient advice requests through MyChart; and manage provider scheduling templates.
For Physician Practices (MPG, MPC and UCC), travel to other locations based on business needs; mileage reimbursement is provided.